Understanding Female Partners of Bisexual Men: Implications for HIV/STD Risk

了解双性恋男性的女性伴侣：对艾滋病毒/性病风险的影响

• 批准号: 7866497
• 负责人: Nina Thawata Harawa
• 金额: $ 10.58万
• 依托单位: CHARLES R. DREW UNIVERSITY OF MED & SCI
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-07-01 至 2011-12-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7866497
• 关键词: AIDS prevention; AIDS/HIV problem; Acquired Immunodeficiency Syndrome; Address; Affect; African American; Age; Anal Sex; Anus; Attitude; Awareness; Behavior; Behavioral; Belief; Bisexual; Case-Control Studies; Categories; Characteristics; Collaborations; Color; Conservatism; County; Data; Demographic Factors; Dependency; Development; Diagnosis; Drug usage; Effectiveness; Epidemic; Ethnic Origin; Female; Funding; Gays; Gender Role; Goals; HIV; HIV Infections; HIV antibody positive; HIV diagnosis; HIV/STD; Health Services Research; Heterosexuals; Hispanics; Human immunodeficiency virus test; Injection of therapeutic agent; Intervention Studies; Interview; Latina; Los Angeles; Oral Sex; Participant; Pattern; Pharmaceutical Preparations; Phase; Policies; Prevention; Prevention approach; Prevention strategy; Preventive Intervention; Psychosocial Factor; Psychosocial Influences; Public Health; Qualitative Research; Questionnaires; Race; Recruitment Activity; Reporting; Research; Resources; Risk; Sampling; Self Efficacy; Sex Behavior; Sexual Partners; Site; Social Desirability; Structure; Surveys; Testing; Time; Transcript; United States; Vagina; Woman; Women' s Group; Work; behavior test; case control; condoms; expectation; experience; high risk; improved; male; man; men; men who have sex with men; permissiveness; programs; psychosocial; racial and ethnic disparities; resource guides; risk perception; safer sex; self esteem; sex; sexual relationship; stem; trait; transmission process

DESCRIPTION (provided by applicant): In the United States, the reported rates of new HIV diagnoses among black and Hispanic women are, respectively, 20 and 5.4 times that of white women. A greater tendency toward bisexual behavior and non-gay identification among black and Hispanic men who have sex with men (MSM) than among white MSM is thought to contribute to the large racial/ethnic disparities in HIV/AIDS observed among women; however, nearly nothing is known about the female partners of behaviorally bisexual men. Furthermore, many HIV-infected women are considered "heterosexual unidentified risk" because they do not fit into an HIV transmission category other than sex with a male of unidentified risk. We propose a two-phase study to better understand HIV risk among women of color by identifying predictors of sex with bisexual and unidentified risk men and exploring psychosocial issues surrounding and correlates of these sexual partnerships. This research will be carried out among African-American and Latina females recently tested for HIV in publicly funded test sites in Los Angeles County. In Phase I, a matched case-control analysis will be carried out using secondary data to identify predictors of having had sex with a bisexual man or of being diagnosed HIV-antibody positive with unidentified heterosexual risk. In Phase II, recently tested women will be recruited and interviewed, including 30 who report bisexual male partners and 20 HIV-infected women with unidentified sexual risk. The in-depth semi-structured interview will examine psychosocial factors surrounding sexual relationships with men, including known bisexual, potentially bisexual, and presumed heterosexual men and explore (1) the range of relationship types characterizing women's relationships with these men; (2) attitudes regarding gender roles and desired partner traits; (3) how and when participants became aware of their partners' bisexual behavior and how this awareness influenced their HIV risk perception; (4) how HIV-antibody positive women with unidentified sexual risk perceive they and their partners were infected; and (5) participant's attitudes and behaviors regarding health-related research, health care, and STD/HIV prevention. Interview transcripts will be analyzed using a consensual qualitative research approach to identify major themes and generate hypotheses and survey items for a larger quantitative interview study comparing women reporting sex with a bisexual male to women who do not believe that they have had sex with a bisexual man. They will also help direct prevention resources and guide HIV prevention intervention approaches among women of color.

描述（由申请人提供）：在美国，黑人和西班牙裔妇女中报告的艾滋病毒新诊断率分别是白色妇女的20倍和5.4倍。与白色男男性行为者相比，黑人和西班牙裔男男性行为者更倾向于双性恋行为和非同性恋身份，这被认为是导致在女性中观察到的艾滋病毒/艾滋病的巨大种族/民族差异的原因;然而，对行为双性恋男性的女性伴侣几乎一无所知。此外，许多感染艾滋病毒的妇女被认为是“异性恋的不明风险”，因为除了与不明风险的男性发生性关系外，她们不属于艾滋病毒传播类别。我们提出了一个两阶段的研究，以更好地了解有色人种女性的艾滋病毒风险，通过确定与双性恋和身份不明的风险男性发生性关系的预测因素，并探索这些性伙伴关系的心理社会问题和相关因素。这项研究将在最近在洛杉矶县公共资助的检测点进行艾滋病毒检测的非洲裔美国人和拉丁美洲女性中进行。 在第一阶段，将使用二手数据进行匹配的病例对照分析，以确定与双性恋男性发生性关系或被诊断为HIV抗体阳性但异性恋风险不明的预测因素。在第二阶段，将招募和面试最近接受测试的妇女，包括30名报告有双性恋男性伴侣的妇女和20名感染艾滋病毒但性风险不明的妇女。深入的半结构化访谈将检查与男性发生性关系的心理社会因素，包括已知的双性恋，潜在的双性恋和假定的异性恋男性，并探索（1）女性与这些男性关系的关系类型范围;（2）对性别角色和理想伴侣特征的态度;（3）参与者如何以及何时意识到其伴侣的双性恋行为以及这种意识如何影响他们对艾滋病风险的感知：（4）艾滋病抗体阳性的女性如何感知自己和伴侣被感染;（5）参与者对健康相关研究、卫生保健和性病/艾滋病预防的态度和行为。访谈记录将使用一个共识的定性研究方法进行分析，以确定主要主题，并产生假设和调查项目，为一个更大的定量访谈研究比较妇女报告与双性恋男性发生性关系的妇女谁不相信他们有过性行为与双性恋男子。他们也将帮助直接预防资源和指导艾滋病毒预防干预方法中的妇女的颜色。